Adolescent Idiopathic Scoliosis Case 18

The patient presented at age 16 with a 47 degree curvature. Dr. Pashman followed the patient, and gave her the option to delay surgery until she was out of high school. At age 20 she underwent surgery to correct her spinal curvature.

Case Review:

20 year old female, with progressive Adolescent Idiopathic Scoliosis

Patient History:

20-year-old female.
Presented at age 16 with a 47° curvature.
She has a 2 cm right rib hump, no left lumbar fullness.
The patient has been followed by Dr. Pashman for several years, and deferred surgery until she was out of high school.

Pre-op X-rays:

Progressive 60° right thoracic curve. The patients lumbar curve is minimally rotated and the secondary curve starts at approximately T11-T12.

Bending X-rays:

The proximal curve is somewhat rigid with a 30- degree proximal curve and balanced shoulders indicating that there is no significant depression of the left shoulder indicating a non-compensated curve. Therefore, the fusion levels were chosen for classical distribution on the right thoracic curve letting the lumber curve bend out and be compensatory and flexible.